Optometry Coding & Billing Alert

Here's How to Ensure That Your E/M Documentation Measures Up

Published on Mon Sep 01, 2008

Use these definitions to make sure your coding matches the level of service you provide

When you're coding an office visit, documentation is the key to being able to justify the level of code you report. Apply this chart to help determine which code -- and which level -- fits the scenario.

Note: To differentiate between different levels of service, see "Instructions for Selecting a Level of E/M Service" in the E/M codes' introduction in the CPT manual.

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